Lee, Lisa A
Lee, Lisa A is an individual health care provider with primary practice located at 3516 12Th Ave Ne , Olympia WA 98506-5218. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Lee, Lisa A can be contacted via phone (360) 456-1600.Contact Information
Primary practice address
3516 12Th Ave Ne
Olympia WA 98506-5218
Phone: (360) 456-1600
Fax: (360) 456-6504
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00040317 | Washington |
Profile Details
| NPI number | 1235224163 |
|---|---|
| LBN Legal business name | Lee, Lisa A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | Dec 19th, 2018 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235224163 | NPPES |
| Washington | MEDICAID | 1005648 |
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